16 days old

Health Coach RN

Independence Blue Cross LLC
Philadelphia, PA 19107
  • Job Code
    210345

Under the direction of the Care Management Manager, the Health
Coach functions as the primary nurse to provide both health coaching and case
management services to members across the continuum of health ranging from
health promotion to end-of-life. Health coaches collaborate
on care plan development and coordination with members and physicians by
screening, assessing, planning, facilitating, monitoring and giving input when
adjustment is needed, and advocating for the member on an individual basis.
Health coaches use clinical and motivational interviewing skills to assess
members need and establish mutually agreeable goals while supporting member in
developing self-management skills in adopting positive behavior changes. Health
Coaches work with the member to identify and address barriers to members
adherence to standards of evidence based medicine. The health coach
facilitates communication between the patient, family, and members of the
health care team while acting as an educator and link between the patient,
providers and the plan, ensuring high quality, cost-effective services are
delivered. Helps members coordinate care and navigate the healthcare
system.




Duties and Responsibilities:
  • Functions as a primary nurse for members across the continuum
    of health and health-related services including information and support
    for lifestyle improvement, acute symptoms, treatment decisions, targeted
    health conditions, chronic conditions and complex conditions.
  • Engages with the members ranging from coaching to
    intensive case management with the goal to develop and support the
    members ability to self-manage.
  • Provides appropriate clinical coaching support to
    members placing in-bound calls seeking assistance with acute
    symptoms, chronic conditions and/or health information regarding, specific
    topics
  • Conducts appropriate surveys/assessments to proactively
    identify needs. Develops appropriate care plans and establishes
    goals. Assessment includes working with member/family/significant
    other to identify barriers of adherence to the physicians plan of care as
    well as achieving lifestyle improving goals. Continues to work with member
    via on-going telephonic communication to achieve the agreed upon goals.
  • Proactively incorporates lifestyle improvement and prevention
    opportunities into member interactions and coaching.
  • Contacts members physician when needed especially in
    more complex medical situations requiring case management intervention to
    facilitate care coordination.
  • Monitors the quality of service, seeking member/family
    input. Communicates safety issues to manager and utilizes the
    occurrence screening for quality of care tracking.
  • Identifies on-line, telephonic and community based
    resources that can assist the member in achieving and maintaining their
    personal health goals. Assist the member in accessing those
    services. In addition, assist in maximizing the use of members
    benefits and ensuring coordination of services and outcomes.
  • Provides exceptional customer service.
  • Maintains and communicates accurate information in
    associate self-serve program.
  • Attends educational programs/training to maintain state
    license, CCMC licensure and updated knowledge of Health Coach process.
  • Ensures all activities are documented and conducted in
    compliance with applicable regulatory requirements and accreditation
    standards.
  • Other duties as assigned.


Knowledge, Skills and Abilities Required:

  • Current, active, and unrestricted Registered Nurse
    licensure
  • Three years any of combination of clinical, case
    management and/or disease/condition management experience
  • Exceptional communication and problem solving ability.
  • Ability to work flexible hours
  • Basic computer skills
  • Strong clinical knowledge






Posted: 2021-06-08 Expires: 2021-07-07
Sponsored by:
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Sponsored by:
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Health Coach RN

Independence Blue Cross LLC
Philadelphia, PA 19107

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